Coding productivity held steady for 2019 but the impact of misalignment between coding and CDI and unanswered physician queries suggest there's room for improvement. HIM Briefings' 2019 coding productivity survey dug into productivity benchmarks, coding accuracy benchmarks, and the impact of workflows and department structure.
Q: I’ve heard conflicting information about reporting uncertain diagnoses. Do the ICD-10-CM diagnoses need to be documented in the discharge summary/final progress note or can they be coded from an earlier progress note?
Q: If a patient is requesting his medical records via email, so long as our email is encrypted and secure, can we send it? We only have his email on his admission papers, which matches the email address he sent to us.
This week's note from the instructor walks through the background of and processes involved in creating a Medicare Coverage Analysis document prior to billing for a clinical trial.
If you aren’t yet confused by the site-neutral payment policy changes prompted by CMS apparently ignoring both Congressional intent and the American Hospital Association (AHA) and other impacted hospitals filing suit, you are likely to become so now.
